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| Name | Class |
|---|---|
| Merck Sharp & Dohme LLC | INDUSTRY |
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This is a multi-center, open-label non-randomized dose-escalation trial of vorinostat given in combination with vinorelbine. Cohorts will be treated with a fixed dose of vinorelbine (25mg/m²/week continuously, representing the schedule that has been approved). Patients eligible will be enrolled into a standard 3+3 design with a starting dose of vorinostat at 200 mg po qd 7/21 (weekly schedule). Then, further dose levels will be explored. Toxicity of the schedule will be assessed during the first cycle. Patients may receive up to 6 cycles of study medication. Blood samples will be collected at specified time points to assess pharmacokinetic endpoints.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Vorinostat, vinorelbine | Experimental | Vorinostat will be administered orally at the starting dose of 200 mg po qd 7/21(weekly schedule) in combination with the standard dose of vinorelbine 25mg/m² per week as intravenous infusion over 10 minutes starting 4 hours after vorinostat administration. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Zolinza (vorinostat), vinorelbine | Drug | Vorinostat will be administered orally at the starting dose of 200 mg po qd 7/21(weekly schedule) in combination with the standard dose of vinorelbine 25mg/m² per week as intravenous infusion over 10 minutes starting 4 hours after vorinostat administration. Barring dose limiting toxicities the dose of vorinostat will escalate in several steps (300 mg po qd 7/21 days, 300 mg po qd 21/21 days, 400 mg po qd 7/21 days, 400 mg po qd 21/21 days). Patients may receive a maximum of 6 cycles of study medication. |
| Measure | Description | Time Frame |
|---|---|---|
| To determine the maximum tolerated dose (MTD) of vorinostat administered in combination with standard doses of vinorelbine. | at the end of the trial |
| Measure | Description | Time Frame |
|---|---|---|
| To assess the pharmacokinetics of vorinostat and vinorelbine when administered in combination. | at the end of the trial | |
| To assess the safety and tolerability of this regimen in advanced solid tumors. | at the end of the study |
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Inclusion Criteria:
Patient must have a histologically-confirmed metastatic or locally advanced cancer.
Patient is ≥ 18 years of age on day of signing informed consent.
Patient must have performance status < 1 on the ECOG performance scale.
Patient must have adequate organ function as indicated by the following laboratory values:
Hematological: absolute neutrophil count (ANC) ≥ 1,5x109/L; platelets ≥ 100 x109/L; hemoglobin ≥ 9 g/dL
Renal : calculated creatinine clearance b ≥ 60 mL/min
Hepatic : serum total bilirubin ≤ 1.5 X ULN ; AST (SGOT) and ALT (SGPT) ≤ 2.5 X ULN; alkaline phosphatase if > 2.5 X ULN, then liver fraction should be ≤ 2.5 X ULN
Coagulation : prothrombin time (PT) ≤1.2 X ULN ; partial thromboplastin time (PTT) ≤1.2 X ULN
For female patients of childbearing potential: must have a negative serum pregnancy test within 72 h before drug administration
Male and Female patients of childbearing potential must agree to use an adequate method of contraception throughout the study starting with Visit 1 and for at least 30 days after the last dose of study medication.
Patient has voluntarily agreed to participate by giving written informed consent.
Patient must be available for periodic blood sampling, study related assessments, and management at the treating institution of the duration of the study.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jean-Pierre Delord, MD, PhD | Institut Claudius Regaud | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre René GAUDUCHEAU | Nantes Saint Herblain | 44805 | France | |||
| Institut Curie |
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| ID | Term |
|---|---|
| D000077337 | Vorinostat |
| D000077235 | Vinorelbine |
| ID | Term |
|---|---|
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
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| To make a preliminary assessment of the efficacy of the combination, in terms of response rate, response duration, time to response and time to progression. | At the end of the trial |
| To evaluate predictive pharmacodynamic biomarkers (e.g., histone acetylation in peripheral blood) when vorinostat is administered in combination with vinorelbine. | At the end of the trial |
| Paris |
| 75005 |
| France |
| Institut Claudius REGAUD | Toulouse | 31052 | France |
| D000588 |
| Amines |
| D006877 | Hydroxamic Acids |
| D006898 | Hydroxylamines |
| D006880 | Hydroxy Acids |
| D002264 | Carboxylic Acids |
| D014748 | Vinca Alkaloids |
| D046948 | Secologanin Tryptamine Alkaloids |
| D026121 | Indole Alkaloids |
| D000470 | Alkaloids |
| D006571 | Heterocyclic Compounds |
| D007211 | Indoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D054836 | Indolizidines |
| D007212 | Indolizines |